This systematic review and meta-analysis evaluated 20 studies on Tai Chi's effects on cognitive performance in older adults, including those with and without cognitive impairment. Results showed significant improvements in executive function, global cognition, and memory for both groups. Tai Chi outperformed non-intervention controls and, in some cases, active interventions like walking or other exercises. The cognitive benefits are linked to Tai Chi's combination of aerobic, meditative, and coordinated movement elements, which promote neuroplasticity and stress reduction. However, variations in study quality, intervention types, and outcome measures suggest the need for more robust, long-term trials.
Older adults should consider practicing Tai Chi three times weekly for 12–24 weeks to enhance cognitive functions such as executive function and memory. Its combination of physical, mental, and social-engagement offers a safe, low-cost approach to cognitive health. While results are promising, larger studies with standardized methods are needed. Tai Chi is particularly beneficial for those seeking a gentle, adaptable form of exercise for aging well.